NPI | 1306088893 |
---|---|
Former Name | STEPHANIE ANNE BLAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX P2429) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2009-03-30 |
Last Update Date | 2022-03-07 |