NPI | 1346887080 |
---|---|
Former Name | KATHRYN BLOCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0997091-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.025095) |
Enumeration Date | 2019-12-02 |
Last Update Date | 2022-10-11 |