NPI | 1912149949 |
---|---|
Former Name | ALLISON FARRELLSMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: UT 7771821-1205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NH 15697) |
Enumeration Date | 2009-04-06 |
Last Update Date | 2021-10-29 |