NPI | 1295826378 |
---|---|
Former Name | KATHRINE L HERON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO992) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 39020000X) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2016-10-10 |