NPI | 1396109823 |
---|---|
Former Name | GRACE KIRKPATRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OK 39918) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX T3052) |
208000000X Pediatrics (Licence: TN MD0000056735) | |
208000000X Pediatrics (Licence: TN 56735) | |
Enumeration Date | 2016-04-11 |
Last Update Date | 2022-10-04 |