| NPI | 1588379655 |
|---|---|
| Former Name | KASSIE MARIE KLEMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-APP-241172) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2024-08-15 |