| NPI | 1043095656 |
|---|---|
| Former Name | KATHRYN JOAN TRAYNOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 10622) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 10622) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2024-04-22 |