| NPI | 1457913592 |
|---|---|
| Former Name | KATRINA MIERKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO c-apn.0001568-c-np) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2022-09-01 |