NPI | 1144681917 |
---|---|
Former Name | KATHRYN RADLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009996A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008441) |
Enumeration Date | 2016-03-08 |
Last Update Date | 2022-08-30 |