NPI | 1760529036 |
---|---|
Former Name | EMILY NELSON KORELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MN 61298) |
Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: SC 32480) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2016-12-08 |