NPI | 1730620162 |
---|---|
Former Name | HILLARY ANN MCCLINTIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101270016) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-03-18 |
Last Update Date | 2022-09-06 |