NPI | 1356682371 |
---|---|
Former Name | KATHRYN BUCKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN9278237) |
Enumeration Date | 2013-03-15 |
Last Update Date | 2019-04-09 |