| NPI | 1700521184 |
|---|---|
| Former Name | KATHY WHITFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA 61284031) |
| Enumeration Date | 2022-05-01 |
| Last Update Date | 2024-08-14 |