| NPI | 1114390788 |
|---|---|
| Former Name | KATHERINE TONNIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209018063) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APRN002070) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2018-10-17 |