NPI | 1164627204 |
---|---|
Former Name | KATHERINE SUE LEINEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 03933) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R8132) |
Enumeration Date | 2007-06-19 |
Last Update Date | 2012-05-17 |