NPI | 1851052633 |
---|---|
Other Name | CARRIE KRETSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019514) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95204483) |
Enumeration Date | 2022-01-04 |
Last Update Date | 2022-01-04 |