| NPI | 1861434508 |
|---|---|
| Former Name | KIM BETH LORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME91439) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX U8088) |
| 208000000X Pediatrics (Licence: OH 35.132081) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2024-05-13 |