| NPI | 1295583417 |
|---|---|
| Former Name | KATHLEEN F EVIZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 1284468) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95236360) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |