NPI | 1700146438 |
---|---|
Former Name | GINNIE BETH SATTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60565786) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-05-29 |
Last Update Date | 2015-11-24 |