| NPI | 1508325242 |
|---|---|
| Former Name | YASHATE KINKIA PENDERGRASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: SC 107470) |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |