NPI | 1780889956 |
---|---|
Other Name | REBECCA K SAND-STRADER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IA 38967) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-8129) |
Enumeration Date | 2007-06-18 |
Last Update Date | 2010-06-24 |