| NPI | 1598122426 |
|---|---|
| Former Name | KATHERINE PATRICIA GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202207822NP-PP) |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2024-08-27 |