NPI | 1437451499 |
---|---|
Former Name | LEANN ARLEEN WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 46402) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A114783) |
Enumeration Date | 2010-11-24 |
Last Update Date | 2012-08-13 |