NPI | 1275629636 |
---|---|
Former Name | VICTORIA LYNN YADON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: KY 26779) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2006-10-05 |
Last Update Date | 2023-11-13 |