| NPI | 1073079430 |
|---|---|
| Other Name | KATHRYN CARLISLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201901242NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN261173) |
| 163W00000X Registered Nurse (Licence: OR 201901189RN) | |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2023-04-18 |