NPI | 1932524626 |
---|---|
Former Name | KERRY ELIZABETH NIEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP127061) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 861786) |
Enumeration Date | 2014-03-04 |
Last Update Date | 2019-04-15 |