NPI | 1306370846 |
---|---|
Former Name | VERONICA KORTHALS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WI 71758) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 71758) |
Enumeration Date | 2017-04-11 |
Last Update Date | 2023-01-10 |