NPI | 1639311616 |
---|---|
Former Name | MARY KATHRYN SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX P3230) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX P3230) |
Enumeration Date | 2009-04-06 |
Last Update Date | 2024-03-06 |