NPI | 1396122891 |
---|---|
Former Name | KOURTNEY K SONDGRASS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME137785) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME137785) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-04 |
Last Update Date | 2021-07-14 |