| NPI | 1942437934 |
|---|---|
| Former Name | KATHERINE MARIE IVEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: TX T2184) |
| Additional Taxonomies | 208600000X Surgery (Licence: NE 26179) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: TX T2184) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2024-05-03 |