NPI | 1659575470 |
---|---|
Former Name | MARY KNOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 201000522) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 141838) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2023-07-26 |