| NPI | 1336815174 |
|---|---|
| Former Name | SCHAUN DANIEL KONRADD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95032583) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 809233) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2025-04-01 |