| NPI | 1154911857 |
|---|---|
| Other Name | KATIE WAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30328) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 248372) |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-10-15 |