| NPI | 1174577092 |
|---|---|
| Former Name | KATHY ANN CUNDIFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 52729) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 600128) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2023-03-07 |