| NPI | 1518485333 |
|---|---|
| Former Name | KATHERINE MARIE HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009791) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 207610) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 207610) | |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2019-11-21 |