| NPI | 1407684830 |
|---|---|
| Former Name | MATTISEN ROSE SEPT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AK 227114) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 227114) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AK 227114) | |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-08-26 |