NPI | 1164677191 |
---|---|
Former Name | SUSAN ELIZABETH KARLMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 0154) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60054327) |
363L00000X Nurse Practitioner (Licence: MN 194078-7) | |
Enumeration Date | 2008-11-18 |
Last Update Date | 2020-08-10 |