NPI | 1902206899 |
---|---|
Former Name | KATHLEEN E CHRISTIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 6184-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014023981) |
Enumeration Date | 2014-08-27 |
Last Update Date | 2019-05-14 |