NPI | 1669053393 |
---|---|
Former Name | CANDICE SZYMANSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 58.032338) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-04-15 |
Last Update Date | 2021-06-24 |