NPI | 1710336847 |
---|---|
Former Name | AMBER LEA PFEIFFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX S3384) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-06-09 |
Last Update Date | 2022-07-12 |