| NPI | 1578964540 |
|---|---|
| Other Name | KATHLEEN MCFADDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 00171411816) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP1274182) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2020-09-23 |