NPI | 1285983817 |
---|---|
Former Name | KATHERINE JEAN CARLISLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2022-03353) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT220871) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2023-08-29 |