| NPI | 1871324970 |
|---|---|
| Former Name | KATHERINE GREY JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95275362) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 245559) |
| Enumeration Date | 2024-08-10 |
| Last Update Date | 2024-08-10 |