NPI | 1376981217 |
---|---|
Former Name | KATHRYN STARR BALBIERZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: MO 2019027048) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 191736) |
Enumeration Date | 2013-06-13 |
Last Update Date | 2019-07-16 |