NPI | 1134953292 |
---|---|
Former Name | KAREN MARIE KITCHENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 29112A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP003143) |
Enumeration Date | 2024-08-29 |
Last Update Date | 2025-02-11 |