NPI | 1376899955 |
---|---|
Former Name | KATHERINE E EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD469054) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101256147) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-08-01 |
Last Update Date | 2021-03-26 |