NPI | 1295140721 |
---|---|
Former Name | MONICA ANN WARDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX R8738) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX R8738) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-23 |
Last Update Date | 2019-03-28 |