NPI | 1710381835 |
---|---|
Former Name | KATHRYN DANKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021009934) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A076247) |
Enumeration Date | 2014-10-17 |
Last Update Date | 2021-07-01 |