NPI | 1467988220 |
---|---|
Former Name | KATRINA PENDLETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9354301) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9354301) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2022-07-21 |