NPI | 1376036459 |
---|---|
Former Name | BRENNAN JADE HODGSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD61141707) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61141707) |
Enumeration Date | 2018-06-12 |
Last Update Date | 2024-07-25 |