| NPI | 1619361094 |
|---|---|
| Former Name | KATELYN DOERR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 63346) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG172061) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2020-06-09 |