NPI | 1245687854 |
---|---|
Former Name | LEAH A KLOSTERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71006261A) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71006261A) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2024-11-19 |