NPI | 1164666103 |
---|---|
Former Name | KAREN MARIE KWAPIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209007406) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209007406) |
Enumeration Date | 2009-04-21 |
Last Update Date | 2016-05-05 |