| NPI | 1508106709 |
|---|---|
| Former Name | KATHLEEN A BRYANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F430654-1) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 430654) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2023-07-07 |