| NPI | 1457561706 |
|---|---|
| Former Name | MARY KATHERINE WHITLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: AR E-8211) |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery (Licence: LA 202330) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-02-24 |