NPI | 1932473196 |
---|---|
Former Name | KATHERINE BRILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 258264) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A120312) |
Enumeration Date | 2012-03-05 |
Last Update Date | 2022-07-21 |