| NPI | 1407935588 |
|---|---|
| Former Name | KATRINA LYN PARMELEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301075885) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: MI 4301075885) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |