| NPI | 1710546924 |
|---|---|
| Former Name | KATHRYN ANESA FAULKNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 382968) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382968) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2021-04-28 |