| NPI | 1891053484 |
|---|---|
| Former Name | COURTNEY ANNE CRAIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q3443) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2016-09-17 |