NPI | 1083857957 |
---|---|
Former Name | CHARLOTTE MORRIGAN STORK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 51024) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO 51275) |
208000000X Pediatrics (Licence: TN 51024) | |
Enumeration Date | 2009-04-08 |
Last Update Date | 2024-01-10 |