NPI | 1154764041 |
---|---|
Former Name | KATHERINE M PRESLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 17494) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 167499) |
Enumeration Date | 2013-04-10 |
Last Update Date | 2013-04-10 |