NPI | 1730109950 |
---|---|
Former Name | JACQUELINE OWUSU-ANTWI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD419509) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD 419509) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2013-07-25 |