| NPI | 1255815460 |
|---|---|
| Former Name | KATHRYN MARCINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9386693) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 10754) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2023-06-14 |