| NPI | 1982325049 |
|---|---|
| Former Name | MYKAYLA GUNDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1087848) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1087848) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-12-21 |