| NPI | 1093394017 |
|---|---|
| Former Name | KATIE ANN POGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MO L-302749) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2007027783) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-04-06 |