NPI | 1477338705 |
---|---|
Former Name | OLIVIA ELIZABETH KADING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP028001) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP028001) |
Enumeration Date | 2023-08-25 |
Last Update Date | 2025-01-13 |