NPI | 1144305715 |
---|---|
Former Name | KATHERINE LOUISE ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME99899) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME99899) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-10-13 |