NPI | 1962794537 |
---|---|
Other Name | CHRISTINE NICOLE SIMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD457940) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: OH 35-123941) | |
Enumeration Date | 2011-05-13 |
Last Update Date | 2016-07-08 |