NPI | 1609283365 |
---|---|
Former Name | KATE WERTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 9026558) |
Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TN APN18654) |
Enumeration Date | 2014-07-15 |
Last Update Date | 2022-03-18 |