| NPI | 1407539208 |
|---|---|
| Former Name | KATHLEEN ANN COENEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 114980) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 78121) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-08-29 |