NPI | 1679968127 |
---|---|
Former Name | REBECCA LEIGH PARRISH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0069066) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NE 29783) |
208D00000X General Practice (Licence: NE 29783) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-01 |
Last Update Date | 2024-08-16 |