NPI | 1356809743 |
---|---|
Former Name | KARI ANN PACA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0999561-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 6478) |
Enumeration Date | 2019-03-05 |
Last Update Date | 2024-04-16 |