NPI | 1508422635 |
---|---|
Former Name | CARLI A. CULJAT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11027896) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 76901) |
363LF0000X Nurse Practitioner, Family (Licence: NE 112791) | |
Enumeration Date | 2019-05-14 |
Last Update Date | 2024-06-13 |