| NPI | 1144854498 |
|---|---|
| Former Name | KATLYN M UNDERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 903969) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 903969) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2025-09-12 |