NPI | 1144739566 |
---|---|
Former Name | KATHERINE MEAGHAN KELLEHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 087929-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101.0132594) |
363L00000X Nurse Practitioner (Licence: CA 95012957) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 95200666) | |
Enumeration Date | 2017-09-28 |
Last Update Date | 2023-10-03 |