NPI | 1235438714 |
---|---|
Former Name | KATHLEEN MARGARET SANDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0093600) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 285567) |
208000000X Pediatrics (Licence: MD D0093600) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-03-23 |
Last Update Date | 2022-03-22 |