| NPI | 1134351356 |
|---|---|
| Former Name | KATHRYN ELIZABETH BOUCHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 10090) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 10090) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 10090) | |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2024-09-26 |