NPI | 1952698953 |
---|---|
Former Name | ALISSA N NORDIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301099259) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301099259) |
Enumeration Date | 2011-06-29 |
Last Update Date | 2019-03-22 |