NPI | 1568969566 |
---|---|
Former Name | BROOKE ELAINE SCHERMERHORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities (Licence: MD D0094523) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-04-07 |
Last Update Date | 2022-11-09 |