NPI | 1174968101 |
---|---|
Former Name | CHRISTINA RUSK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-75986) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 100184) |
Enumeration Date | 2013-05-03 |
Last Update Date | 2021-10-21 |