| NPI | 1275100091 |
|---|---|
| Former Name | KATHLEEN MARIE INMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 288807) |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-06-09 |