| NPI | 1700852928 |
|---|---|
| Former Name | KATHRYN FLAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP1240) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11022406) |
| 363LF0000X Nurse Practitioner Family (Licence: CO C-APN.0004221-C-NP) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: AZ AP7236) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2023-06-14 |