| NPI | 1790948784 |
|---|---|
| Former Name | ABIGAIL LYNN UPPINGHOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 48861) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2008015353) |
| 208000000X Pediatrics (Licence: MO 2011012605) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2013-11-19 |