| NPI | 1427699628 |
|---|---|
| Former Name | KATHERINE RACHEL WALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 9958) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95058339) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2023-03-15 |