| NPI | 1902244171 |
|---|---|
| Former Name | KATHERINE ANN CARLISLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101268397) |
| Additional Taxonomies | 208800000X Urology (Licence: HI 18015) |
| 208D00000X General Practice (Licence: HI 18015) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2020-03-17 |