NPI | 1932303450 |
---|---|
Former Name | AUTUMN LYNN STARN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WV 25181) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01068330B) |
208000000X Pediatrics (Licence: MN 50880) | |
Enumeration Date | 2007-06-11 |
Last Update Date | 2022-04-07 |