| NPI | 1497092969 |
|---|---|
| Former Name | KATHRYN MARIE SOUCY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP231559) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN283154) |
| 363L00000X Nurse Practitioner (Licence: MA RN283154) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN283154) | |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2023-12-05 |