NPI | 1659040806 |
---|---|
Former Name | CATHERINE ANNE KUSHNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.25297) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5023014) |
Enumeration Date | 2021-09-10 |
Last Update Date | 2025-09-23 |