| NPI | 1609155340 |
|---|---|
| Former Name | CHANTAL Y SPENCER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: NY 263123) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P6280) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2022-10-26 |