| NPI | 1134345226 |
|---|---|
| Former Name | KATHLEEN ANN KETRING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA RN257361) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 12669) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |