| NPI | 1932604824 |
|---|---|
| Former Name | ANNALISE M. FARMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 13302668-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD200118) |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2023-03-14 |