| NPI | 1790988517 |
|---|---|
| Former Name | JENNIFER DALTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IA MD-47653) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-47653) |
| 208000000X Pediatrics (Licence: MI 4301090138) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301090138) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301090138) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-09-18 |