NPI | 1326274135 |
---|---|
Former Name | MICHELLE ANN CHRISCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX P0253) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX P0253) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-06-08 |
Last Update Date | 2025-08-21 |