| NPI | 1275952376 |
|---|---|
| Former Name | KATHERINE MARIE BECKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101261785) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 28142) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2021-01-06 |