NPI | 1104025691 |
---|---|
Former Name | KAREN E. ARCHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71002203A) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28089486A) |
Enumeration Date | 2007-07-13 |
Last Update Date | 2020-11-17 |