NPI | 1760473334 |
---|---|
Former Name | KATHLEEN LYNN AUEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01038853) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX G5853) |
171100000X Acupuncturist (Licence: IN 01038853) | |
Enumeration Date | 2005-11-02 |
Last Update Date | 2011-10-07 |