NPI | 1114390788 |
---|---|
Former Name | KATHERINE TONNIES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209018063) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APRN002070) |
Enumeration Date | 2015-11-04 |
Last Update Date | 2018-10-17 |