| NPI | 1639313521 |
|---|---|
| Former Name | STEPHANIE LOGSDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: OH 35.126878) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2019-04-17 |