NPI | 1063807576 |
---|---|
Former Name | CHELSEA HILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: TN 67997) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX R7905) |
Enumeration Date | 2015-04-01 |
Last Update Date | 2023-07-07 |