Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 01055881A | IN |
NPI | 1003891482 |
---|---|
Provider Name | Dr. Katherine Covington Austin |
First Address | Oceanside, CA 92057-6156 |
Second Address | Camp Pendleton, CA 92055-5191 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2005 |
Last Update Date | 08/07/2007 |