NPI | 1811986201 |
---|---|
Former Name | KARIN L WOLFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN 35487) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 43996) |
Enumeration Date | 2005-10-18 |
Last Update Date | 2018-11-17 |