NPI | 1912327487 |
---|---|
Former Name | COURTNEY GUSHUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: OH 34.012794) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.012794) |
Enumeration Date | 2014-04-23 |
Last Update Date | 2025-04-21 |