NPI | 1265963227 |
---|---|
Former Name | JESSICA CASTERLINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: OH 35.150140) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2024-08-20 |