NPI | 1558105353 |
---|---|
Former Name | KASEY L RADEMACHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ND 200159) |
Enumeration Date | 2024-06-25 |
Last Update Date | 2024-08-08 |