| NPI | 1528502481 |
|---|---|
| Former Name | CATHERINE TIBBEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11003087) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL RN9518336) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO RN. 1624847) | |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2022-07-11 |