NPI | 1104455310 |
---|---|
Former Name | KATHERINE SENTELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.148242) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.250015) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-08 |
Last Update Date | 2023-07-03 |