NPI | 1710141007 |
---|---|
Former Name | EMMA SIMPSON JACOBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD157346) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD 60217229) |
Enumeration Date | 2008-07-15 |
Last Update Date | 2013-07-05 |