| NPI | 1831353028 |
|---|---|
| Professional Name | KATHERINE LYNN DIVELY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |