| NPI | 1205457793 |
|---|---|
| Former Name | KATHERINE ELIZABETH TYLER MCGOWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS022272) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT020030) |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2024-07-08 |