| NPI | 1164996641 |
|---|---|
| Former Name | KATHRYN MARIE TODD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 107530) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 107530) |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2022-02-28 |