| NPI | 1164700878 |
|---|---|
| Former Name | KATHERINE CASEY MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2264433) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN R231309-6) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209011224) | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2019-03-11 |