NPI | 1992162457 |
---|---|
Former Name | KATHERINE KINNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006715A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28192226A) |
Enumeration Date | 2016-01-28 |
Last Update Date | 2023-10-12 |