| NPI | 1952643587 |
|---|---|
| Former Name | KATE EWING BEAUCHAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 268320) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 302374-01) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2024-08-16 |