NPI | 1154513562 |
---|---|
Former Name | TOBY ANN NEAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 75686) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 051301) |
363LA2200X Nurse Practitioner, Adult Health (Licence: KS 75686) | |
Enumeration Date | 2007-08-10 |
Last Update Date | 2015-08-12 |