| NPI | 1285364059 |
|---|---|
| Former Name | KAITLYN POPKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NE 114225) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: NE 114225) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |