NPI | 1952881948 |
---|---|
Former Name | KATHRYN ANN REESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176422) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024176422) |
Enumeration Date | 2018-08-18 |
Last Update Date | 2024-05-06 |