| NPI | 1760535645 |
|---|---|
| Former Name | CATHY DAWN CONWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA 057774) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN057774) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2015-05-18 |