NPI | 1265896229 |
---|---|
Former Name | VICTORIA SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MS 28736) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL 36305) |
Enumeration Date | 2016-04-06 |
Last Update Date | 2021-09-15 |