NPI | 1538546585 |
---|---|
Former Name | MARY JEANNE LUSKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2018-00285) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2023-06-15 |