| NPI | 1376258186 |
|---|---|
| Former Name | KENDRA MIRANDA RASMUSSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.026772) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.449582) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2024-05-06 |