NPI | 1285467787 |
---|---|
Former Name | KATHERINE KLUNDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 2023062297) |
Enumeration Date | 2024-08-21 |
Last Update Date | 2024-08-21 |