| NPI | 1932465259 |
|---|---|
| Former Name | KATHLEEN ELIZABETH MANDELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL XXXXXXXXXXXXXXXX) |
| Additional Taxonomies | 2085N0904X Radiology Nuclear Radiology (Licence: IL 125061472) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2020-07-21 |