NPI | 1235336777 |
---|---|
Former Name | KATHLEEN HOLLIS FREEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101247625) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301111818) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116019609) | |
Enumeration Date | 2007-06-28 |
Last Update Date | 2020-12-01 |