NPI | 1447786207 |
---|---|
Former Name | KATHERINE YAKOWICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704282989) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MI 4704282989) |
163WC0200X Registered Nurse Critical Care Medicine (Licence: MI 4704282989) | |
Enumeration Date | 2017-05-11 |
Last Update Date | 2024-05-31 |