| NPI | 1336996966 |
|---|---|
| Former Name | KARA LEANNE WALDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TX 1158737) |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-08-05 |