| NPI | 1679612212 |
|---|---|
| Former Name | AENA D PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 52866) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 17791) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-03-10 |