NPI | 1841291655 |
---|---|
Former Name | JENNIFER B GREGORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 9900515) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9900515) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2018-01-23 |