| NPI | 1326730771 |
|---|---|
| Former Name | KATHERINE ELAINE PADBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023023199) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2025-01-21 |