| NPI | 1063034080 |
|---|---|
| Former Name | KATHRYN WELLMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD480425) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT220339) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2023-05-27 |