NPI | 1285899138 |
---|---|
Former Name | KENDRA LEIGH KNODEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ND R33969) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 296582) |
363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1130981) | |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9278854) | |
Enumeration Date | 2008-07-21 |
Last Update Date | 2023-08-22 |