NPI | 1699859660 |
---|---|
Former Name | KATHERINE R MCNALLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61223493) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G69357) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2022-03-17 |