NPI | 1033566658 |
---|---|
Former Name | KATHRYN ELEANOR CURRY BERNDTSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: UT 10505854-1205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 268261) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2021-11-02 |