NPI | 1558757781 |
---|---|
Former Name | COURTNEY LYNN MUMPHREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AR E-12942) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-12942) |
Enumeration Date | 2015-04-14 |
Last Update Date | 2021-08-03 |