| NPI | 1982294450 |
|---|---|
| Former Name | KARA MARIE SANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 11908) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN 2245698) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2024-08-07 |