NPI | 1740741446 |
---|---|
Former Name | AMANDA KATHERINE KERR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: GA 91917) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 91917) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 250342) | |
Enumeration Date | 2019-03-26 |
Last Update Date | 2024-07-31 |