| NPI | 1831320092 |
|---|---|
| Other Name | KATHERINE WENTZELL MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN284349) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 284349) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2012-01-10 |