| NPI | 1720491343 |
|---|---|
| Former Name | KATINA R STEVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 92463) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036143814) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2023-01-19 |