| NPI | 1437681640 |
|---|---|
| Former Name | KATHERINE WILEY FITZPATRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R202671) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |