NPI | 1003100033 |
---|---|
Former Name | KATHY LYNNE OSSWALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4408-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 124228-30) |
363LP2300X Nurse Practitioner, Primary Care (Licence: WI 4408-33) | |
Enumeration Date | 2011-06-07 |
Last Update Date | 2025-04-01 |