NPI | 1346323623 |
---|---|
Former Name | TAMMY LYNN MCLOUGHLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MD D62035) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD D62035) |
208000000X Pediatrics (Licence: DC 0000000000) | |
Enumeration Date | 2006-10-23 |
Last Update Date | 2019-11-21 |