NPI | 1568346112 |
---|---|
Former Name | KATIE RENEE UELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 266526) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-266526) |
Enumeration Date | 2025-08-05 |
Last Update Date | 2025-08-18 |