| NPI | 1912383951 |
|---|---|
| Former Name | KATHRYN CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00512700) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: NJ 26NJ00512700) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00512700) | |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2024-11-07 |