| NPI | 1083948855 |
|---|---|
| Former Name | KATHERINE ALEXANDRA DORVAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3007110) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN278940) |
| 363L00000X Nurse Practitioner (Licence: MA 278940) | |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2015-01-22 |