| NPI | 1780859249 |
|---|---|
| Former Name | CAROL LYNN HIGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NH 17124) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 049456) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: PA MT201005) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2015-07-13 |