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 |