| NPI | 1891057246 |
|---|---|
| Former Name | KARA MACKENZIE BOETTCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: ID M-12220) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID M-12220) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2016-09-28 |