| NPI | 1184966723 |
|---|---|
| Former Name | NICHOLE R GUBBINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX Q8896) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q8896) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2022-07-15 |