NPI | 1699196238 |
---|---|
Former Name | KATHERINE GORMLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95000256) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 813027) |
Enumeration Date | 2013-12-28 |
Last Update Date | 2016-12-15 |