NPI | 1609282862 |
---|---|
Former Name | KATHERINE L NIENABER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A106886) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A106886) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2019-04-05 |