NPI | 1275191546 |
---|---|
Former Name | ASHLEY CHRISTINA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: TX U2983) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.074275) |
Enumeration Date | 2019-06-03 |
Last Update Date | 2023-08-27 |