| NPI | 1497351779 |
|---|---|
| Former Name | KATHRYN FRANCES PEKALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 119175) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 119175) |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |