NPI | 1275607293 |
---|---|
Former Name | STACY LYNN KATTERHENRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130049) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK R0075357) |
Enumeration Date | 2006-11-20 |
Last Update Date | 2021-07-16 |