NPI | 1881183325 |
---|---|
Former Name | KATELYN ELIZABETH KANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: RI MD19358) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-05-09 |
Last Update Date | 2023-06-08 |