| NPI | 1205448958 |
|---|---|
| Professional Name | KATHERINE BROADWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403214) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 674182) |
| Enumeration Date | 2020-08-22 |
| Last Update Date | 2020-09-16 |