NPI | 1346602448 |
---|---|
Former Name | TAYLOR ANN SWABASH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CO DR.0062455) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MI 4301503961) | |
Enumeration Date | 2016-03-28 |
Last Update Date | 2022-06-01 |