| NPI | 1104184878 |
|---|---|
| Former Name | KATHERINE JEAN PERIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277-000567) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209009522) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2021-03-03 |