| NPI | 1255677712 |
|---|---|
| Former Name | CATHERINE M ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170663) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0001240922) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2019-04-05 |