NPI | 1386102200 |
---|---|
Former Name | KATHARINE BISHOP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0011882) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: DE L1-0049850) |
363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011882) | |
Enumeration Date | 2019-03-10 |
Last Update Date | 2022-08-23 |