NPI | 1427194232 |
---|---|
Former Name | COURTNEY ELIZABETH RUSSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 50656) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX Q2987) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY TP079) | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2022-05-18 |