| NPI | 1174057988 |
|---|---|
| Former Name | KATHLEEN ELIZABETH CORWIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60771610) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN60744309) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-06-23 |