| NPI | 1811793946 |
|---|---|
| Former Name | KENDRA JO AUSMUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2024045263) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2007018601) |
| 163W00000X Registered Nurse (Licence: IL 041509652) | |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |