NPI | 1740679356 |
---|---|
Former Name | KYIRSTY UNGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 73106) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202005744NP) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61163603) | |
Enumeration Date | 2015-01-20 |
Last Update Date | 2023-03-07 |