NPI | 1093928285 |
---|---|
Former Name | KIMBERLY THERESE PATRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA 336449) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036124668) |
208000000X Pediatrics (Licence: IN 01073111A) | |
208000000X Pediatrics (Licence: WI 54523-20) | |
208M00000X Hospitalist (Licence: IL 036124668) | |
Enumeration Date | 2007-05-07 |
Last Update Date | 2024-09-11 |