| NPI | 1295806040 |
|---|---|
| Former Name | MARILYN CRANDALL HIGGINBOTTOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA G30850) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G30850) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2017-02-16 |