| NPI | 1437736907 |
|---|---|
| Former Name | PATIENCE MARIE KASUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MT NUR-APRN-LIC-174686) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-03-29 |