NPI | 1275769325 |
---|---|
Former Name | KATHERINE MARIE STURGEON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR0055909) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012020840) |
208000000X Pediatrics (Licence: MI 4301094205) | |
Enumeration Date | 2009-06-03 |
Last Update Date | 2018-11-14 |