NPI | 1679299762 |
---|---|
Former Name | KATHERINE ELIZABETH BISSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024192027) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 1051322) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024192027) | |
Enumeration Date | 2022-10-19 |
Last Update Date | 2025-10-06 |