NPI | 1588632665 |
---|---|
Former Name | MARY DURAND KLINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003979) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003979) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CT 003979) | |
Enumeration Date | 2006-03-14 |
Last Update Date | 2022-07-21 |