NPI | 1467866459 |
---|---|
Former Name | SALLY A OGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A140759) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A140759) |
Enumeration Date | 2014-06-17 |
Last Update Date | 2021-12-14 |