| NPI | 1811491582 |
|---|---|
| Former Name | KATHERINE LOUISE GANDERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301507024) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-11-03 |