NPI | 1568729549 |
---|---|
Former Name | KATHERINE MCCANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: OH 35.131828) |
Enumeration Date | 2012-04-16 |
Last Update Date | 2022-03-21 |