| NPI | 1952424129 |
|---|---|
| Former Name | CATHERINE BOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 2199104405) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 2199104405) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-09 |