| NPI | 1316180375 |
|---|---|
| Former Name | KATHLEEN DIANE RYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0047727) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 25994) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2020-01-08 |