NPI | 1255579371 |
---|---|
Former Name | CHRISTINA MARIE SOUTHERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA A94219) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A94219) |
Enumeration Date | 2009-01-27 |
Last Update Date | 2023-01-03 |