NPI | 1225206824 |
---|---|
Former Name | KATHERINE M. TENNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 058740-21) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 058740-23) |
Enumeration Date | 2008-02-15 |
Last Update Date | 2019-12-30 |