NPI | 1275572935 |
---|---|
Former Name | KATHLEEN ANN GULDAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 200854) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 200844) |
363L00000X Nurse Practitioner (Licence: NC 063311) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2015-01-27 |