| NPI | 1114588506 |
|---|---|
| Former Name | KATHERINE NICOLE PRYOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009057A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1146659) |
| 363L00000X Nurse Practitioner (Licence: IN 71009057A) | |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2024-05-15 |