NPI | 1508234162 |
---|---|
Former Name | KATHERINE KRAJICEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704272980) |
Enumeration Date | 2015-09-11 |
Last Update Date | 2024-12-17 |