NPI | 1245662600 |
---|---|
Former Name | KIM ANN LOSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3534) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1601712) |
Enumeration Date | 2013-08-07 |
Last Update Date | 2020-10-05 |