NPI | 1922393941 |
---|---|
Former Name | EMILY LAUREN HULL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: PA MD451834) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT199461) |
Enumeration Date | 2011-06-17 |
Last Update Date | 2017-06-08 |