| NPI | 1568179513 |
|---|---|
| Former Name | KATHRYN CHRISTINE WALLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0037558) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 32767) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2024-11-15 |