| NPI | 1083932818 |
|---|---|
| Former Name | KATHERINE KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P4701) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: TX P4701) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2022-06-20 |