NPI | 1831465509 |
---|---|
Former Name | MARGARET THERESE KEARNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2017-00658) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0079621) |
Enumeration Date | 2012-03-28 |
Last Update Date | 2022-02-02 |