| NPI | 1871226233 |
|---|---|
| Former Name | KATIE MARIE AANDAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ND R39964) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R39964) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-08-10 |