NPI | 1356451595 |
---|---|
Former Name | KATHRYN GRINDELAND KEEGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP30006337) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA 30006337) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2018-03-22 |