NPI | 1386149128 |
---|---|
Former Name | KATHARINE MCDOWELL FREEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 55592) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY R4704) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2021-09-01 |