| NPI | 1275230609 |
|---|---|
| Former Name | KENDRA ELIZABETH MIKATARIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP61338308) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |