| NPI | 1558702332 |
|---|---|
| Former Name | KATHLEEN REBECCA FEARON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2305437) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R187571) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2024-01-03 |