| NPI | 1457324006 |
|---|---|
| Former Name | KATHLEEN ANNE MCKINNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP3004880) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 107887) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP134694) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2023-10-03 |