| NPI | 1346967213 |
|---|---|
| Former Name | KATHRYN TERRELL NEILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1096963) |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2023-01-09 |