NPI | 1003379116 |
---|---|
Former Name | KATHERINE CARLSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01093695A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208000000X Pediatrics (Licence: IN 01093695A) | |
Enumeration Date | 2019-04-08 |
Last Update Date | 2024-10-15 |