NPI | 1417248378 |
---|---|
Former Name | NATALIE M CLOSSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011006161) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 75658) |
Enumeration Date | 2011-04-27 |
Last Update Date | 2019-10-23 |