NPI | 1215161427 |
---|---|
Former Name | KATHRYN IRENE BEATTIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MT 76610) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00048554) |
Enumeration Date | 2009-05-04 |
Last Update Date | 2021-07-22 |