| NPI | 1790889327 |
|---|---|
| Former Name | KATHRYN LLEWELLYN GANNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024169787) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2019-09-04 |