NPI | 1841605003 |
---|---|
Former Name | LINDSAY DALLAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 68674) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IA DO-04990) |
Enumeration Date | 2014-06-26 |
Last Update Date | 2021-03-04 |