NPI | 1659768919 |
---|---|
Former Name | BRITTANY SORENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME137728) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME137728) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-23 |
Last Update Date | 2021-07-15 |