NPI | 1700460714 |
---|---|
Former Name | KATHERINE ASHLEY ACOSTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA 203754) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125079896) |
Enumeration Date | 2021-05-06 |
Last Update Date | 2025-08-07 |