| NPI | 1285764886 |
|---|---|
| Former Name | KATHLEEN MARIE CAVANAGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: IL 036146280) |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: WI 57264) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2019-07-30 |