NPI | 1265790315 |
---|---|
Former Name | KATHRYN GRIFFIN JENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 8882) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 148141-30) |
Enumeration Date | 2012-04-26 |
Last Update Date | 2021-12-22 |