NPI | 1588693634 |
---|---|
Former Name | KATHERINE MANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS R851180) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MS R851180) |
363LF0000X Nurse Practitioner, Family (Licence: MS R851180) | |
Enumeration Date | 2006-07-01 |
Last Update Date | 2016-11-29 |