| NPI | 1861027682 |
|---|---|
| Former Name | KATHLEEN MARIE WILMINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 24181323) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 89288) |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2024-09-27 |