| NPI | 1093736464 |
|---|---|
| Former Name | KATHRYN MARIE CARPENTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024166961) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-03-11 |