| NPI | 1992208896 |
|---|---|
| Former Name | ROSE ANN MARSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 57903) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2024-03-29 |