| NPI | 1174135321 |
|---|---|
| Former Name | KATHRYN ANN LIBUSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95029499) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 833635) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2024-12-15 |