NPI | 1386909851 |
---|---|
Former Name | KATHRYN KURZET MOORE WOLPERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD181577) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M-12656) |
207Q00000X Family Medicine (Licence: UT 8736463-1205) | |
Enumeration Date | 2012-07-10 |
Last Update Date | 2022-01-13 |