| NPI | 1700303823 |
|---|---|
| Former Name | KATHRYN J MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95011378) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402246-1) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2020-10-08 |