NPI | 1891413290 |
---|---|
Former Name | KATHRYN IRENE COLLINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA 027043) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F350685-01) |
Enumeration Date | 2022-08-22 |
Last Update Date | 2023-07-24 |