| NPI | 1669234589 |
|---|---|
| Former Name | KARIESSA TAYLOR ROSENLUND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 236624) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 236624) |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-04-22 |