NPI | 1053051227 |
---|---|
Former Name | KATHERINE ELIZABETH LEVENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 33463) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 905234) |
Enumeration Date | 2022-03-29 |
Last Update Date | 2024-05-23 |