| NPI | 1902051030 |
|---|---|
| Former Name | KATHRYN MARY DEBORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R212570) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2018-02-15 |