| NPI | 1376949883 |
|---|---|
| Former Name | KATHRYN DANIELLE WALSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277.000911) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.011318) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2021-05-05 |