NPI | 1841566015 |
---|---|
Former Name | SARA RHODES PROCTOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD468127) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.126407) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD468127) | |
Enumeration Date | 2012-03-31 |
Last Update Date | 2019-08-12 |