| NPI | 1790205706 |
|---|---|
| Former Name | KATHERINE BLAIRE KERWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IN 01091179A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11019435A) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-10-24 |