| NPI | 1508535063 |
|---|---|
| Former Name | KATIE JO MANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999197) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1692767) |
| 163W00000X Registered Nurse (Licence: TN 240683) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 30293) | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2023-11-01 |