| NPI | 1750778890 |
|---|---|
| Former Name | CATHERINE MAE KELSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology (Licence: NY 309184) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: MI 4301107374) |
| 207Y00000X Otolaryngology (Licence: NY 309184) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2021-03-12 |