NPI | 1124492368 |
---|---|
Former Name | KIRSTEN SPOERL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 6805) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 145906-30) |
Enumeration Date | 2015-11-28 |
Last Update Date | 2024-09-06 |