NPI | 1245457175 |
---|---|
Former Name | KIRSTI RANKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 10949) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R1485831) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2018-11-09 |