| NPI | 1184903379 |
|---|---|
| Former Name | KATIE MARIE NEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F336848) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F336848) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2021-02-12 |