NPI | 1366437105 |
---|---|
Former Name | PAMELA KAY KIRKPATRICK/TORKELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R0874100) |
Enumeration Date | 2005-09-19 |
Last Update Date | 2007-07-08 |