Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | E-9678 | AR |
Y | 2080P0214X | Pediatric Pulmonologist | E-9678 | AR |
NPI | 1417245069 |
---|---|
Provider Name | Katia El Taoum |
First Address | Little Rock, AR 72202-3500 |
Second Address | Little Rock, AR 72202-3500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2011 |
Last Update Date | 21/03/2018 |