| NPI | 1104585280 |
|---|---|
| Former Name | KATHERINE SPIDALIERE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NH 063987-23) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |