NPI | 1063492056 |
---|---|
Former Name | KAREN RENEE DOSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 20080169) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP1995) |
Enumeration Date | 2006-01-18 |
Last Update Date | 2011-04-14 |