NPI | 1316915978 |
---|---|
Former Name | KAREN R BROSSMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71002104A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002104A) |
363L00000X Nurse Practitioner (Licence: KY 3006301) | |
363LF0000X Nurse Practitioner, Family (Licence: KY 3006301) | |
Enumeration Date | 2006-03-09 |
Last Update Date | 2018-10-03 |