| NPI | 1003593039 |
|---|---|
| Former Name | KATHERINE ANN MCCLELLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11026913) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11026913) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-08-15 |