| NPI | 1861493165 |
|---|---|
| Former Name | KATHERINE FACKLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: IL 036118061) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: IL 036118061) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2021-11-18 |