NPI | 1063717551 |
---|---|
Former Name | JENNIFER LYNN SHULER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX Q5996) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-01-14 |
Last Update Date | 2016-09-17 |