NPI | 1356629844 |
---|---|
Former Name | KATHERINE SPITTLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704260625) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704260625) |
Enumeration Date | 2011-08-01 |
Last Update Date | 2018-03-17 |