| NPI | 1619381209 |
|---|---|
| Former Name | KATHLEEN JOAN CORNFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NV 20499) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 20499) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2022-06-22 |