Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 2017-00401 | NC |
NPI | 1245674571 |
---|---|
Provider Name | Katherine R Tucker |
First Address | Chapel Hill, NC 27599-7572 |
Second Address | Chapel Hill, NC 27599-7572 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2013 |
Last Update Date | 02/04/2021 |