| NPI | 1588333140 |
|---|---|
| Former Name | KATHRYN DEREK OWELLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CO RN.1632639) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |