NPI | 1073219895 |
---|---|
Former Name | KATHERINA A CHRISTIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WY 49959) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WY 49959) |
Enumeration Date | 2023-02-02 |
Last Update Date | 2023-02-02 |