| NPI | 1710454798 |
|---|---|
| Former Name | KATIE MARIE JAMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78362-121) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021029980) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2024-08-28 |