| NPI | 1538745757 |
|---|---|
| Former Name | WATONDA KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010843A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71010843A) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2022-12-27 |