| NPI | 1972892693 |
|---|---|
| Former Name | KATHLEEN M MEDWAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201350062NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2263944) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2023-07-25 |