NPI | 1912369182 |
---|---|
Former Name | JOHNNA MCKELVEY SIZEMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 02007225A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.068895) |
208000000X Pediatrics (Licence: IL 036148541) | |
Enumeration Date | 2016-03-25 |
Last Update Date | 2023-07-20 |