NPI | 1982865283 |
---|---|
Former Name | CHRISTINA KAY ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME118737) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 201100870) |
Enumeration Date | 2008-06-19 |
Last Update Date | 2024-10-10 |