NPI | 1003156654 |
---|---|
Former Name | KRISTIN CAROL LOSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 323122) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN164694) |
Enumeration Date | 2013-02-19 |
Last Update Date | 2025-05-06 |