| NPI | 1811569460 |
|---|---|
| Former Name | KATHLEEN LAUREN TEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: TX 1047267) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2024-07-03 |