NPI | 1679012017 |
---|---|
Former Name | KATHERINE SALLEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ AP9992) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 181978) |
Enumeration Date | 2017-02-17 |
Last Update Date | 2018-11-26 |