NPI | 1497107296 |
---|---|
Former Name | KATHRYN A SWAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-014407) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011103A) |
363LF0000X Nurse Practitioner, Family (Licence: IL 277001390) | |
Enumeration Date | 2016-07-06 |
Last Update Date | 2023-08-24 |