NPI | 1639405434 |
---|---|
Former Name | JERIANN C KLINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 53068) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2005021426) |
163W00000X Registered Nurse (Licence: NM 53068) | |
363LF0000X Nurse Practitioner, Family (Licence: MO 2005021426) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2005021426) | |
Enumeration Date | 2009-10-29 |
Last Update Date | 2023-09-18 |