NPI | 1306160882 |
---|---|
Former Name | LINDSAY BLACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX P5958) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX P5958) |
Enumeration Date | 2010-03-26 |
Last Update Date | 2016-02-22 |