NPI | 1588114185 |
---|---|
Former Name | KARI ANNA KENNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704299784) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704299784) |
Enumeration Date | 2016-10-06 |
Last Update Date | 2021-02-19 |