NPI | 1053999185 |
---|---|
Former Name | ANNA ISMERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-79970-071) |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: KS 53-79970-071) |
Enumeration Date | 2021-03-30 |
Last Update Date | 2022-01-27 |