NPI | 1811685134 |
---|---|
Former Name | KATHERINE SPINK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA 338604) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-04-25 |
Last Update Date | 2025-06-09 |