| NPI | 1477071892 |
|---|---|
| Former Name | CONNIE KOOIMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP000311) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: SD CS004100) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2018-06-21 |