| NPI | 1851659593 |
|---|---|
| Former Name | KATHRYN ANNE SHUNK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 006874) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: IA R-9477) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2016-06-21 |