| NPI | 1205502010 |
|---|---|
| Former Name | KATELYN GRACE ROUTHIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.0029565) |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2022-09-04 |