NPI | 1659666287 |
---|---|
Former Name | KATHRYN GORES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 61665) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301104648) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 61665) | |
Enumeration Date | 2011-06-11 |
Last Update Date | 2023-03-22 |