NPI | 1225355985 |
---|---|
Former Name | KELLY GINGER SNYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WY 10142A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR0052775) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-04-21 |
Last Update Date | 2022-11-15 |