NPI | 1679734719 |
---|---|
Former Name | HEATHER ANN CONROY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR 093006586N2) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OR 93006586NZ) |
Enumeration Date | 2008-06-20 |
Last Update Date | 2012-02-27 |