NPI | 1538403514 |
---|---|
Former Name | KATHERINE LYNN HERBERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC006945) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007745) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2024-11-20 |