NPI | 1184155541 |
---|---|
Former Name | KATHRYN LEE STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 202002305) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-03-27 |
Last Update Date | 2021-04-23 |