NPI | 1275106288 |
---|---|
Former Name | KATLYN DANIELLE ROSINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28235248A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28235248A) |
Enumeration Date | 2021-07-19 |
Last Update Date | 2022-08-22 |