NPI | 1023600905 |
---|---|
Former Name | KATRINA STAHERSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WX0200X Registered Nurse, Oncology (Licence: PA CNS000264) |
Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: PA CNS000264) |
Enumeration Date | 2021-02-11 |
Last Update Date | 2021-02-11 |