NPI | 1679532964 |
---|---|
Former Name | LYNNE SUSAN RANDLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036134635) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-25457) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2014-08-22 |