NPI | 1568817658 |
---|---|
Former Name | ELIZABETH SHAWN KEINER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL 153269) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 59264) |
Enumeration Date | 2016-04-26 |
Last Update Date | 2022-07-22 |