NPI | 1841516218 |
---|---|
Former Name | RANDI LEIGH KROLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60621797) |
Additional Taxonomies | 208000000X Pediatrics (Licence: ID M-11849) |
Enumeration Date | 2010-04-10 |
Last Update Date | 2024-04-29 |