NPI | 1851729743 |
---|---|
Former Name | KARLI GASTEAZORO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023041) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 5068) |
363LF0000X Nurse Practitioner, Family (Licence: ME CNP131101) | |
Enumeration Date | 2013-10-31 |
Last Update Date | 2023-01-17 |