NPI | 1023597945 |
---|---|
Former Name | KATHERINE ELIZABETH MYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN APN27103) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209.017927) |
Enumeration Date | 2018-08-10 |
Last Update Date | 2023-05-05 |