| NPI | 1013393040 |
|---|---|
| Former Name | KATHERINE ELIZABETH MCCOLLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991818-NP) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2019-10-14 |