| NPI | 1710569066 |
|---|---|
| Former Name | KATHARINE NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T8274) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10074691) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2022-07-29 |