NPI | 1568412286 |
---|---|
Former Name | KAREN LANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01886) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 95472) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2022-01-11 |