| NPI | 1265920581 |
|---|---|
| Former Name | KATHRYN MAJDICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 63933) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 63933) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2021-11-15 |