NPI | 1649565565 |
---|---|
Former Name | KATHRYN ELIZABETH LULEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD451730) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 53848) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-06-20 |
Last Update Date | 2022-07-21 |