| NPI | 1285192104 |
|---|---|
| Former Name | MARINDA DAWN NEWKIRK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 53-83402) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 163856) |
| 363L00000X Nurse Practitioner (Licence: TX API140224) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP140224) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 163856) | |
| Enumeration Date | 2019-03-10 |
| Last Update Date | 2024-10-01 |