| NPI | 1841229200 |
|---|---|
| Former Name | KATHRYN CLARE VANDENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 05-32072) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006019899) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MO 2006019899) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KS 05-32072) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-12-05 |