NPI | 1245617489 |
---|---|
Former Name | SAMANTHA MAE HARDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA A162427) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A162427) |
Enumeration Date | 2015-04-27 |
Last Update Date | 2024-10-24 |