NPI | 1851650717 |
---|---|
Former Name | JACQUELINE KATTNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME152200) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN MD0000053338) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-05-14 |
Last Update Date | 2022-01-19 |