NPI | 1992188734 |
---|---|
Former Name | KATHERINE HINDMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 04068) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY R3494) |
Enumeration Date | 2015-06-29 |
Last Update Date | 2020-09-11 |