NPI | 1588289250 |
---|---|
Former Name | KATHRYN LAURA WELSH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3077) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95011954) |
Enumeration Date | 2020-06-09 |
Last Update Date | 2021-06-09 |