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 |