| NPI | 1952122764 |
|---|---|
| Former Name | KAREN MARIE LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: WY 20439) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 20439) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2025-05-01 |