NPI | 1669538963 |
---|---|
Former Name | KATHERINE ANN DEMAREE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: PA OS018772) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX M8794) |
207Q00000X Family Medicine (Licence: NY 240656) | |
Enumeration Date | 2006-12-29 |
Last Update Date | 2021-03-01 |