NPI | 1538554043 |
---|---|
Former Name | MICAELA KATHLEEN ROBB-MCGRATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036153354) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036153354) |
208000000X Pediatrics (Licence: IL 036.153354) | |
390200000X Student in an Organized Health Care Education/Training Program | |
207R00000X Internal Medicine (Licence: PA MD467155) | |
207R00000X Internal Medicine (Licence: IL 036.153354) | |
Enumeration Date | 2015-04-01 |
Last Update Date | 2021-08-09 |