NPI | 1902958101 |
---|---|
Former Name | KAREN ELIZABETH SWENSON PICKELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 186269) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2014-04-07 |