| NPI | 1003970476 |
|---|---|
| Former Name | CHRISTEN LEIGH KAVANAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 855767) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA 215503) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2016-08-02 |