NPI | 1629309463 |
---|---|
Former Name | CATHERINE PAGE TALBOT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 14930) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 168742) |
Enumeration Date | 2010-01-19 |
Last Update Date | 2021-03-18 |