| NPI | 1801224043 |
|---|---|
| Former Name | KATHERINE WHITLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 2014010936) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 824671) |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2015-09-10 |