NPI | 1508492547 |
---|---|
Former Name | MEGAN ROSE YETZKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A181136) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-03-22 |
Last Update Date | 2023-09-26 |