NPI | 1205198421 |
---|---|
Former Name | KHOTWANAEYA A COHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX R6634) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 49873) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2024-07-17 |