NPI | 1831399112 |
---|---|
Former Name | CHRISTINA ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 50957) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2007-07-24 |
Last Update Date | 2019-03-20 |