NPI | 1871905448 |
---|---|
Former Name | JAMIE LYNN RHODES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036142559) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.064687) |
Enumeration Date | 2014-05-29 |
Last Update Date | 2023-04-19 |