| NPI | 1154683290 |
|---|---|
| Former Name | MARY KATE ROD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 18176) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 252007) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2022-07-21 |