| NPI | 1992813406 |
|---|---|
| Former Name | KATHRYN ALICE CAROLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: CA G86919) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301061506) |
| 2086X0206X Surgery, Surgical Oncology (Licence: CA G86919) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2021-04-08 |