NPI | 1477713022 |
---|---|
Former Name | ELIZABETH L KLAMM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 157832) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21418) |
163W00000X Registered Nurse (Licence: WI 157832-30) | |
Enumeration Date | 2008-06-16 |
Last Update Date | 2017-03-20 |