NPI | 1255328027 |
---|---|
Former Name | JESSICA ELIZABETH BARRON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO 48288) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 226391) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2021-05-11 |