| NPI | 1083600423 |
|---|---|
| Former Name | KATHLEEN NOLL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: RI 37225) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: RI NPP37225) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2010-03-04 |