| NPI | 1114151214 |
|---|---|
| Former Name | TINA EILEEN KATNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R-130178-2) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2009001820) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2022-03-07 |