NPI | 1023764792 |
---|---|
Former Name | KATRINA ANN VOGT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95020279) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997317-NP) |
Enumeration Date | 2022-02-22 |
Last Update Date | 2024-02-28 |