NPI | 1952665838 |
---|---|
Former Name | BRIANNA CORDELLA MACQUEEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MN 56628) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: ND 15067) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2023-10-18 |