| NPI | 1508892480 |
|---|---|
| Former Name | KIA C PRATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MD D86797) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101246839) |
| 207R00000X Internal Medicine (Licence: NJ 25MA08974600) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-03-24 |