| NPI | 1790245082 |
|---|---|
| Former Name | KATIE SARAH BERENBAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0068223) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2022-08-23 |