| NPI | 1376219931 |
|---|---|
| Former Name | KATHRYN E SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-159478) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-159478) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2023-06-29 |