| NPI | 1477141729 |
|---|---|
| Former Name | MARY KLOOTWYK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71011007A) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: IN 28170191A) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71011007A) | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2022-12-16 |