| NPI | 1619575172 |
|---|---|
| Former Name | AUDREY KATE ORDWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 686497) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2022-12-29 |