NPI | 1669215422 |
---|---|
Former Name | KATHERINE MARIE ALVAREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 11824) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2434001) |
363LF0000X Nurse Practitioner, Family (Licence: MN 11824) | |
Enumeration Date | 2024-06-18 |
Last Update Date | 2024-09-25 |