NPI | 1255317574 |
---|---|
Former Name | VICKI CHLO HOLBROOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: VA 0101232559) |
Enumeration Date | 2005-12-19 |
Last Update Date | 2007-07-08 |