NPI | 1649577404 |
---|---|
Former Name | RENEE MARRS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75201) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-98182-062) |
363L00000X Nurse Practitioner (Licence: KS 53-75201-062) | |
Enumeration Date | 2011-02-14 |
Last Update Date | 2025-04-08 |