NPI | 1821418328 |
---|---|
Former Name | GINNY MILLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60788955) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101261689) |
Enumeration Date | 2014-04-23 |
Last Update Date | 2018-02-26 |