NPI | 1538391537 |
---|---|
Former Name | KATRINA E RYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010373) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN584855) |
Enumeration Date | 2009-08-10 |
Last Update Date | 2021-01-19 |