NPI | 1801587225 |
---|---|
Former Name | KATHRYN COZONAC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA 240357) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 240357) |
Enumeration Date | 2023-05-17 |
Last Update Date | 2024-09-25 |