| NPI | 1538673058 |
|---|---|
| Former Name | KATHERINE MARGARET WILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL PA9110905) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: GA LD004401) |
| 133V00000X Dietitian, Registered (Licence: FL ND7238) | |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2020-07-21 |