| NPI | 1962763359 |
|---|---|
| Former Name | ANN ADAIR CODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 59261) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-06-03 |
| Last Update Date | 2018-08-21 |