NPI | 1457096497 |
---|---|
Former Name | NATALIE KLEEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: IL 125.080220) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-05-04 |
Last Update Date | 2022-06-26 |