NPI | 1326091216 |
---|---|
Former Name | AMY LEE THORNHILL PAKULA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 037317) |
Additional Taxonomies | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: GA 037317) |
Enumeration Date | 2006-05-19 |
Last Update Date | 2013-12-05 |