NPI | 1811210503 |
---|---|
Former Name | KATHERINE N RESEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 741041) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F332378-1) |
Enumeration Date | 2010-03-09 |
Last Update Date | 2010-03-09 |