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 |