NPI | 1871791186 |
---|---|
Former Name | PAIGE TJIN KENDRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: KY 44169) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN11536) |
Enumeration Date | 2007-07-07 |
Last Update Date | 2017-03-21 |