| NPI | 1417204710 |
|---|---|
| Former Name | KENDALL ANN NOVICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MT 102073) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0176856) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0990392) | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2023-11-27 |