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 |