| NPI | 1699700633 |
|---|---|
| Former Name | KATHY PEIFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171252) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209002514) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-11-01 |