NPI | 1528038122 |
---|---|
Former Name | JENNIFER LYNNE HOLDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: GA 037108) |
Enumeration Date | 2006-01-25 |
Last Update Date | 2007-07-08 |