NPI | 1750768818 |
---|---|
Former Name | FRANCES FONACIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX S2515) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207P00000X Emergency Medicine (Licence: TX S2515) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 293602) | |
Enumeration Date | 2015-04-28 |
Last Update Date | 2024-06-04 |