| NPI | 1174128649 |
|---|---|
| Former Name | KATHERINE LEE MASUCCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020028088) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2020028099) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2022-09-26 |