NPI | 1992705115 |
---|---|
Former Name | KELLY MELINDA ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD070520L) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 226589) |
Enumeration Date | 2005-07-29 |
Last Update Date | 2014-08-28 |