| NPI | 1336394014 |
|---|---|
| Former Name | MARY CATHERINE BRAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2011-00297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2011-00297) |
| Enumeration Date | 2008-11-23 |
| Last Update Date | 2024-03-11 |