NPI | 1164093993 |
---|---|
Former Name | WHITNEY L KLAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11057) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 11057-33) |
Enumeration Date | 2021-07-02 |
Last Update Date | 2025-02-18 |