NPI | 1649463555 |
---|---|
Former Name | REBECCA PARKER-JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: MA 267531) |
Additional Taxonomies | 208600000X Surgery (Licence: WA ML20008983) |
Enumeration Date | 2007-08-23 |
Last Update Date | 2016-07-18 |