NPI | 1215370804 |
---|---|
Former Name | KATHERINE J SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35.129064) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.129064) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-12 |
Last Update Date | 2020-12-16 |