| 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 |