NPI | 1043609373 |
---|---|
Former Name | KATHERINE LYNN MARCUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022016426) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 286862) |
Enumeration Date | 2015-01-09 |
Last Update Date | 2023-06-29 |