NPI | 1821142472 |
---|---|
Former Name | DUSKA JOY THURSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: ME MD19312) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00036963) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2012-12-11 |