NPI | 1255589941 |
---|---|
Former Name | KATHERINE A BAERWALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 33463) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01091073A) |
Enumeration Date | 2008-09-05 |
Last Update Date | 2023-09-15 |