NPI | 1427105246 |
---|---|
Former Name | SUSANNAH MCNEILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD 00045475) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2007-01-04 |
Last Update Date | 2012-08-07 |