NPI | 1396405346 |
---|---|
Former Name | KATHLEEN SEIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 11023909) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP024844) |
Enumeration Date | 2021-12-17 |
Last Update Date | 2025-02-04 |