| NPI | 1396492922 |
|---|---|
| Former Name | KATHRYN JEAN MYROLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4004535) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704294787NSA230DC) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2023-11-03 |