| NPI | 1578000246 |
|---|---|
| Former Name | KARLA TERESA ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013061) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5013061) |
| 363L00000X Nurse Practitioner (Licence: WA AP60728165) | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2021-05-03 |