| NPI | 1861936346 |
|---|---|
| Former Name | KATHLEEN MARIE PARKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN-0992757-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.0992757-NP) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2023-06-20 |