| NPI | 1396079307 |
|---|---|
| Former Name | KATHRYN SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: MA 289593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 47168020) |
| 207RG0300X Internal Medicine Geriatric Medicine (Licence: WI 47168) | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2022-02-11 |