NPI | 1700078268 |
---|---|
Other Name | STACEY SMITH CUMMINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD454524) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 046755) |
208000000X Pediatrics (Licence: VA 0101245931) | |
Enumeration Date | 2007-08-17 |
Last Update Date | 2020-08-31 |