| NPI | 1427213206 |
|---|---|
| Former Name | KATHRYN MARIE MCCORMACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 27152) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1128352) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3013995) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2022-03-16 |