| NPI | 1225452956 |
|---|---|
| Former Name | KATE MARIE CLENDENEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: OH 34.014126) |
| Additional Taxonomies | 2086S0129X (Licence: MI 5101026372) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2025-01-21 |