NPI | 1518294503 |
---|---|
Former Name | KARI MENTZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-75055-041) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2009035395) |
Enumeration Date | 2009-11-11 |
Last Update Date | 2021-07-01 |