NPI | 1497796569 |
---|---|
Former Name | CAROLYN T SPENCER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: SC 34606) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 2010-00681) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2020-10-22 |