| NPI | 1124031836 |
|---|---|
| Former Name | KATHLEEN BELINDA WEATHERFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 685) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 27551) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2021-06-07 |