NPI | 1487271102 |
---|---|
Former Name | KATHERINE LYNN FREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H158979) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H158979) |
363LG0600X Nurse Practitioner, Gerontology (Licence: IA H158979) | |
Enumeration Date | 2020-06-29 |
Last Update Date | 2020-08-19 |