NPI | 1588082333 |
---|---|
Former Name | BRENDA D BARAJAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN 65779) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: CA A141793) | |
Enumeration Date | 2014-03-30 |
Last Update Date | 2022-10-13 |