NPI | 1356578769 |
---|---|
Former Name | KATHERINE ALLISON DEAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA A131742) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101248525) |
Enumeration Date | 2009-06-12 |
Last Update Date | 2018-05-11 |