NPI | 1487071353 |
---|---|
Former Name | JAMESIA DURDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KS 04-44862) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2017034485) |
Enumeration Date | 2014-03-27 |
Last Update Date | 2025-02-11 |