| NPI | 1730425935 |
|---|---|
| Former Name | KATHLEEN GENEVIEVE MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: PA MD458558) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 265284) |
| 207Q00000X Family Medicine (Licence: PA MD458558) | |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2016-10-13 |