NPI | 1679680151 |
---|---|
Former Name | BETH A DEAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01053032A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01053032) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2021-01-26 |