| NPI | 1861825754 |
|---|---|
| Former Name | KATHERINE D MORAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2013027924) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 53-76085-032) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2016-12-29 |