NPI | 1134563539 |
---|---|
Former Name | SANDRA YVONNE KITKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: PA SPOO7414) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP007414) |
363L00000X Nurse Practitioner (Licence: NJ 2014019311) | |
Enumeration Date | 2013-04-29 |
Last Update Date | 2021-06-11 |