NPI | 1548576549 |
---|---|
Former Name | KATHERINE J CASSITY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 2704) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 58-003548) |
207R00000X Internal Medicine (Licence: VA 0102203947) | |
Enumeration Date | 2010-08-27 |
Last Update Date | 2021-06-08 |