NPI | 1366603326 |
---|---|
Former Name | KATHERINE LEIGH SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 071838) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC 30892) |
208000000X Pediatrics (Licence: FL ME114990) | |
Enumeration Date | 2008-06-23 |
Last Update Date | 2023-08-17 |