NPI | 1629070636 |
---|---|
Former Name | SUSAN BRADFORD LOWERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: ID M-7541) |
Additional Taxonomies | 173000000X Legal Medicine (Licence: ID M7541) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2023-12-15 |