NPI | 1629573928 |
---|---|
Former Name | KAITLYN MARIE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NM MD2024-0794) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL L.4761R) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-28 |
Last Update Date | 2024-08-02 |