NPI | 1801475314 |
---|---|
Former Name | NETTIE O. IRWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: AK 228059) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 12974710-1205) |
Enumeration Date | 2021-04-03 |
Last Update Date | 2025-06-12 |