NPI | 1881764868 |
---|---|
Former Name | ROSANNE LINDA HART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: SD 8546) |
Additional Taxonomies | 174400000X Specialist (Licence: NE 23627) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2012-11-12 |