NPI | 1992930838 |
---|---|
Former Name | AMBER JO BAILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 30430) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX N2822) |
208000000X Pediatrics (Licence: OK 30430) | |
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TX N2822) | |
Enumeration Date | 2009-05-21 |
Last Update Date | 2023-10-27 |