NPI | 1669215422 |
---|---|
Former Name | KATHERINE MARIE ALVAREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 11824) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2434001) |
Enumeration Date | 2024-06-18 |
Last Update Date | 2024-07-25 |