| NPI | 1891030367 |
|---|---|
| Former Name | KATHERINE MARIE LETZLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 20542) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 184364) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 067184-23) | |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2018-08-30 |