| NPI | 1215305156 |
|---|---|
| Former Name | KATHERINE ELAINE WILLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.17931-NP) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2016-03-30 |