NPI | 1932677978 |
---|---|
Former Name | KATHERINE E CELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA ap61062180) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2300836) |
Enumeration Date | 2018-11-07 |
Last Update Date | 2020-11-25 |