NPI | 1447713078 |
---|---|
Former Name | CATHERINE ELIZABETH JACHTHUBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NC 2022-00400) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2022-00400) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 250620) | |
Enumeration Date | 2019-04-10 |
Last Update Date | 2024-03-06 |