NPI | 1124209994 |
---|---|
Former Name | KATHERINE ROSE V TIGAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WV 24301) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 24301) |
Enumeration Date | 2007-11-20 |
Last Update Date | 2023-01-06 |