NPI | 1457861718 |
---|---|
Former Name | KATHERINE J HERDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 021002) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 361918) |
Enumeration Date | 2017-10-01 |
Last Update Date | 2023-01-18 |