NPI | 1861764326 |
---|---|
Former Name | SONJA SKENDZIC-KELLOGG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 18385) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA RN18385) |
Enumeration Date | 2012-01-30 |
Last Update Date | 2023-02-05 |