| NPI | 1861430225 |
|---|---|
| Former Name | KATHLEEN GALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301106511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036103015) |
| 208000000X Pediatrics (Licence: IL 036103015) | |
| 208000000X Pediatrics (Licence: MI 4301106511) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-05-10 |