NPI | 1295171023 |
---|---|
Former Name | KATHERINE C. STRACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036148565) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0054685) |
Enumeration Date | 2013-05-20 |
Last Update Date | 2024-09-26 |