| NPI | 1457337222 |
|---|---|
| Former Name | KATHY JO UNDERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP3305452) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL ARNP3305452) |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: MO 085789) | |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: MO 085789) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2014-12-24 |