NPI | 1215462106 |
---|---|
Former Name | ALLIE MARIE BECKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01083601A) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01083601A) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-27 |
Last Update Date | 2021-03-26 |