| NPI | 1184101792 |
|---|---|
| Former Name | KATIE M THORNBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IN 71013316A) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: IN 71013316A) |
| 363L00000X Nurse Practitioner (Licence: NC 5010806) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 1573) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71013316A) | |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2024-06-18 |