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 |