NPI | 1265084131 |
---|---|
Former Name | KARRIE FLUCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ15152900) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0028405) |
363LW0102X Nurse Practitioner, Women's Health (Licence: DE LH-0000234) | |
Enumeration Date | 2019-07-11 |
Last Update Date | 2024-11-11 |