| NPI | 1053583815 |
|---|---|
| Former Name | CATHERINE A NUTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 04-33153) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2007035030) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2012-10-09 |