| NPI | 1972023018 |
|---|---|
| Other Name | KATHRYN ANN THIBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: ND 19811) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2017020622) |
| 208800000X Urology (Licence: MN 75194) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-09-13 |