| NPI | 1760639173 |
|---|---|
| Former Name | KATHRYN ELIZABETH MOULTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F335573) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2021-04-08 |