NPI | 1821074550 |
---|---|
Former Name | KAREN RENEE MCCLOSKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP15094) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006993) |
Enumeration Date | 2005-12-15 |
Last Update Date | 2012-11-12 |