| NPI | 1598069445 |
|---|---|
| Former Name | KATHIE DIANE LAFOLLETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: SC 4212) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC APN.4212) |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2021-08-02 |