| NPI | 1538362272 |
|---|---|
| Former Name | JANELLE SPAULDING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME130622) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2009005458) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2023-02-24 |