NPI | 1629578943 |
---|---|
Former Name | KATHERINE EGNOSKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: KS 78007) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: KS 78007) |
Enumeration Date | 2018-02-13 |
Last Update Date | 2024-09-12 |