NPI | 1679165344 |
---|---|
Former Name | APRIL S PTACEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 80005) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KS 13-121746-051) |
Enumeration Date | 2021-02-04 |
Last Update Date | 2021-04-29 |