NPI | 1881011088 |
---|---|
Former Name | KERI MICHELLE BORDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: OR MD203377) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD203377) |
208000000X Pediatrics (Licence: OR MD203377) | |
Enumeration Date | 2014-03-25 |
Last Update Date | 2022-05-21 |