NPI | 1053020321 |
---|---|
Former Name | RENEE ANNE KAHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 352350) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 674253-01) |
Enumeration Date | 2022-11-15 |
Last Update Date | 2025-02-28 |