| NPI | 1235616269 |
|---|---|
| Former Name | KATHRYN L ROETHLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8598-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 168554-30) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-08-14 |