NPI | 1497048243 |
---|---|
Former Name | SAMANTHA K HYNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD451172) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: PA MT199232) |
208000000X Pediatrics (Licence: PA MT199232) | |
Enumeration Date | 2011-05-25 |
Last Update Date | 2021-12-01 |