NPI | 1013002542 |
---|---|
Former Name | CARRIE L KRUMHOLZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 45768) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2004012535) |
163W00000X Registered Nurse (Licence: KS 14-90398-041) | |
163W00000X Registered Nurse (Licence: MO 2004012535) | |
Enumeration Date | 2006-10-03 |
Last Update Date | 2016-06-23 |