Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 081339-1 | NY |
NPI | 1003116039 |
---|---|
Provider Name | Dr. Kathryn Hawes Ehlers |
First Address | Naples, FL 34105-2603 |
Second Address | Naples, FL 34105-2603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2010 |
Last Update Date | 25/10/2010 |