| NPI | 1467019091 |
|---|---|
| Former Name | KATHRYN RICHELLE COLBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201810080NP-PP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 201810080NP-PP) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |