| NPI | 1104395904 |
|---|---|
| Other Name | KATHERINE PHELAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA N360945524) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60924861) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP138937) | |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2021-06-17 |