NPI | 1265535694 |
---|---|
Former Name | KARLA FEEZOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD24979) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00044576) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2007-07-31 |