| NPI | 1023274305 |
|---|---|
| Former Name | KATHRYN CHARNOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q3495) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 208000000X Pediatrics (Licence: CA A110454) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2022-02-10 |