NPI | 1477127702 |
---|---|
Former Name | PEYTON BROOKE CHAPMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX V1180) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OK 0412R) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 0412R) | |
Enumeration Date | 2021-05-20 |
Last Update Date | 2024-08-05 |