NPI | 1760418313 |
---|---|
Former Name | KATHRYN J GILLILAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-32349) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 34959) |
Enumeration Date | 2006-06-24 |
Last Update Date | 2008-07-15 |