NPI | 1508284985 |
---|---|
Former Name | KATHERINE J COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R7214) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA10170900) |
Enumeration Date | 2014-04-02 |
Last Update Date | 2021-10-01 |