| NPI | 1295979300 |
|---|---|
| Former Name | KATHARYN DESA FREUND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036138404) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036138404) |
| 208000000X Pediatrics (Licence: PA MD448210) | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2018-02-08 |