NPI | 1992489769 |
---|---|
Former Name | KENDALL KATHERINE MCCUNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 10231000-4405) |
Enumeration Date | 2023-06-12 |
Last Update Date | 2023-06-12 |