| NPI | 1871554725 |
|---|---|
| Former Name | KATHRYN ANN ROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI 17279) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME100971) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2014-07-21 |