| NPI | 1891901674 |
|---|---|
| Former Name | MARY KATHERINE VON HERRMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101242688) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 106212) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2014-06-19 |