NPI | 1013355684 |
---|---|
Former Name | KATHERINE OGREN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: IL 036140305) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036140305) |
Enumeration Date | 2013-06-05 |
Last Update Date | 2023-08-07 |