| NPI | 1598813206 |
|---|---|
| Former Name | KATHLEEN DIANE STANLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP16511) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA RN413030) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |