NPI | 1679849178 |
---|---|
Former Name | KATHERINE ANNE BOHARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX Q6369) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10042711) |
207R00000X Internal Medicine (Licence: MI 4301117203) | |
208000000X Pediatrics (Licence: TX BP10042711) | |
Enumeration Date | 2012-03-28 |
Last Update Date | 2021-04-09 |