NPI | 1659734317 |
---|---|
Former Name | CLAIRE MICHELLE SKINNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 57028430) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-03-31 |
Last Update Date | 2016-06-26 |