| NPI | 1518335397 |
|---|---|
| Former Name | KATHERINE ANNE DURHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R247425) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R247425) |
| 163W00000X Registered Nurse (Licence: IL 041377365) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209013169) | |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2022-02-17 |