NPI | 1902129976 |
---|---|
Former Name | CATHY LYNN ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 30816) |
Additional Taxonomies | 208D00000X General Practice (Licence: KY 30816) |
Enumeration Date | 2010-03-05 |
Last Update Date | 2015-12-31 |