| NPI | 1689101404 |
|---|---|
| Former Name | MARY KATHERINE KERCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 30107) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 59789) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-06-27 |