| NPI | 1215530944 |
|---|---|
| Former Name | KATHERINE JANE NALEVANKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VT 101.0134658) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2022-11-18 |