NPI | 1720394372 |
---|---|
Former Name | KERRY RAPPOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 121125) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 121125) |
Enumeration Date | 2010-08-20 |
Last Update Date | 2021-11-22 |