NPI | 1679919948 |
---|---|
Former Name | EMILY BETH SOUTHARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD D87595) |
Enumeration Date | 2013-05-14 |
Last Update Date | 2019-06-23 |