| NPI | 1790183945 |
|---|---|
| Former Name | KATELYN FRAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP014629) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP014629) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2018-05-21 |