| NPI | 1578748810 |
|---|---|
| Former Name | KATHY MARIE O'CONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 12762) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000012762) |
| Enumeration Date | 2008-01-06 |
| Last Update Date | 2018-03-24 |