NPI | 1679510440 |
---|---|
Former Name | KARA DIAN EBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 71001777A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71001777A) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2023-10-18 |