NPI | 1114364338 |
---|---|
Former Name | KATE ELIZABETH NIEHOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A140342) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC MD51740) |
207Q00000X Family Medicine (Licence: PA MD456598) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT203568) | |
Enumeration Date | 2013-05-29 |
Last Update Date | 2019-02-02 |