NPI | 1790959294 |
---|---|
Former Name | WILLA LEANAH CROSBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: FL ME113650) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A137741) |
208000000X Pediatrics (Licence: CA A137741) | |
Enumeration Date | 2008-04-15 |
Last Update Date | 2022-07-21 |