NPI | 1457470148 |
---|---|
Former Name | SUSANA WAYETA KATAKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 11938) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX 680495) |
363LW0102X Nurse Practitioner, Women's Health (Licence: TX 680495) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP113842) | |
Enumeration Date | 2007-03-27 |
Last Update Date | 2023-07-13 |