NPI | 1760072235 |
---|---|
Former Name | ANNE CATHERINE VAREVICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 8373) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R205792-5) |
Enumeration Date | 2021-01-19 |
Last Update Date | 2022-10-07 |