NPI | 1154565869 |
---|---|
Former Name | KATHERINE MARIE PITTEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704277001) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP009986) |
Enumeration Date | 2009-04-24 |
Last Update Date | 2022-07-28 |