Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 4704271044 | MI |
NPI | 1023047594 |
---|---|
Provider Name | Mrs. Kate F. Webber |
First Address | Grosse Pointe Farms, MI 48236-3432 |
Second Address | Detroit, MI 48236-2169 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 21/12/2017 |