NPI | 1336776319 |
---|---|
Former Name | SARAH PAIGE WHITSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2020018213) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KS 9410401) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-26 |
Last Update Date | 2020-06-29 |