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 |