| NPI | 1679012017 |
|---|---|
| Former Name | KATHERINE SALLEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP9992) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 181978) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2018-11-26 |