| NPI | 1033148507 |
|---|---|
| Former Name | KERSTIN M BOHATY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-29719) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0429719) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-01-14 |