NPI | 1427091628 |
---|---|
Former Name | PATRIC HERNANDEZ-KLINE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61373875) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP13999) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2023-09-21 |