| NPI | 1770209207 |
|---|---|
| Former Name | KATHERINE MANIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 9262) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2025-09-22 |