NPI | 1174966816 |
---|---|
Former Name | SONDRA MAUREEN KNOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ 25MA10484500) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 280769) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 280769) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-11 |
Last Update Date | 2023-01-21 |