NPI | 1366462285 |
---|---|
Former Name | CLEOME JANE HARRIS-EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101057110) |
Additional Taxonomies | 174400000X Specialist (Licence: VA 0101057110) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2014-12-03 |