NPI | 1780144139 |
---|---|
Former Name | LEAH C AULTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL MD.41576) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.41576) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2023-02-01 |