| NPI | 1003379116 |
|---|---|
| Former Name | KATHERINE CARLSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01093695A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01093695A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2025-03-16 |