NPI | 1760986764 |
---|---|
Former Name | ANN ROBERT DICKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 56547) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R4696) |
208000000X Pediatrics (Licence: KY 56547) | |
208000000X Pediatrics (Licence: KY R4696) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-23 |
Last Update Date | 2022-06-09 |