| NPI | 1447294442 |
|---|---|
| Former Name | LYNNE CATHERINE RAYNOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: WI 46801-020) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2008-09-23 |