| NPI | 1457357063 |
|---|---|
| Former Name | KATHLENE SUZANNE HODGES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R530719) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN13944) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2012-04-05 |