NPI | 1922647460 |
---|---|
Former Name | KENDRA POEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009822A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28204066A) |
Enumeration Date | 2020-01-02 |
Last Update Date | 2020-02-20 |