NPI | 1225245194 |
---|---|
Former Name | AMY DANIELLE KLUGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OK 66211) |
Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: OK 0066211) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2014-09-04 |