| NPI | 1275363764 |
|---|---|
| Former Name | KATHRINE THIBODEAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0100X Registered Nurse, Gastroenterology (Licence: CO APN.0998512-NP) |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |