NPI | 1639303605 |
---|---|
Former Name | JEANA SUZANNE ARNOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 73717) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: GA RTP 006134) |
208000000X Pediatrics (Licence: NC 157439) | |
Enumeration Date | 2009-05-06 |
Last Update Date | 2015-07-06 |