| NPI | 1760861645 |
|---|---|
| Former Name | FELICIA D HUMPHRIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.37091) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2019-06-20 |