NPI | 1447620307 |
---|---|
Former Name | ANAIS LAUREN KLEIN MUNDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008059) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008059) |
363LF0000X Nurse Practitioner, Family (Licence: NC 256370) | |
Enumeration Date | 2015-10-04 |
Last Update Date | 2023-02-20 |