| NPI | 1104029008 |
|---|---|
| Former Name | KATIE MARIE ULRING LARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: IA 39484) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57. 010977) |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MN 50680) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2011-05-18 |