| NPI | 1780983304 |
|---|---|
| Former Name | KATHERINE DE LOS SANTOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02266) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP125670) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2020-09-08 |