NPI | 1558919761 |
---|---|
Former Name | KATHLEEN ELIZABETH BARTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP60994444) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60954594) |
363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60994444) | |
Enumeration Date | 2019-08-30 |
Last Update Date | 2019-11-26 |