NPI | 1871099093 |
---|---|
Former Name | KATHRYN ANNE PAGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 21800) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 21800) |
Enumeration Date | 2018-04-05 |
Last Update Date | 2021-05-14 |