NPI | 1457389454 |
---|---|
Former Name | DEBORAH CLARK NOBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OK 11770) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2007-07-08 |