Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 10300805-1205 | UT |
N | 2084N0402X | Child Neurologist | 10300805-1205 | UT |
NPI | 1265787626 |
---|---|
Provider Name | Cristina Corina Trandafir |
First Address | Houston, TX 77030-3000 |
Second Address | Salt Lake City, UT 84113-1125 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2012 |
Last Update Date | 25/02/2020 |