NPI | 1639829781 |
---|---|
Former Name | EMILY ANN WORLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022021131) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-11031) |
Enumeration Date | 2022-03-23 |
Last Update Date | 2022-12-05 |