NPI | 1457303141 |
---|---|
Former Name | KAREN L MATULONIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA VP006049B) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA VP006049B) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2022-06-02 |