Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | G85271 | CA |
NPI | 1104436104 |
---|---|
Provider Name | Dr. Martha Louise Mckinney |
First Address | Saskatoon, SK S7N 0W8 |
Second Address | Saskatoon, SK S7N 0W8 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2020 |
Last Update Date | 04/08/2020 |