| NPI | 1427533934 |
|---|---|
| Former Name | KATHRYN ANN LIDARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP026072) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R199260) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R199260) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP145021) | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2023-10-24 |