| NPI | 1568807741 |
|---|---|
| Former Name | TEQUILLA L HUNTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 80923) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101260570) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2026-02-22 |