NPI | 1891780193 |
---|---|
Former Name | TERI LYN OSTERKAMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3010007) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-071191) |
Enumeration Date | 2005-09-13 |
Last Update Date | 2016-04-27 |