NPI | 1619934098 |
---|---|
Former Name | CANDACE VICTORIA CAMPOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX K5476) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2020-03-30 |