NPI | 1336422674 |
---|---|
Former Name | KATHERINE VERONICA HOPPERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60464002) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00174782) |
Enumeration Date | 2011-09-22 |
Last Update Date | 2016-08-26 |