NPI | 1528358603 |
---|---|
Former Name | ANNA R SORENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: MO 2021013348) |
Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: WI 66948) |
207P00000X Emergency Medicine (Licence: WI 66948) | |
Enumeration Date | 2011-04-11 |
Last Update Date | 2021-04-19 |