NPI | 1871974857 |
---|---|
Former Name | KERRIE TOLLERUD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 35381) |
Additional Taxonomies | 176B00000X Midwife (Licence: NC 309014) |
176B00000X Midwife (Licence: MI 4704287176) | |
367A00000X Advanced Practice Midwife (Licence: TN 35381) | |
Enumeration Date | 2015-06-15 |
Last Update Date | 2024-03-22 |