| NPI | 1811656333 |
|---|---|
| Former Name | KACY LEIGH KLAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H165407) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IA H165407) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H165407) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H165407) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IA H165407) | |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2024-01-31 |