NPI | 1548647373 |
---|---|
Former Name | KELSEY JORDAN CROFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 278700) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-04-30 |
Last Update Date | 2023-06-05 |