NPI | 1952500340 |
---|---|
Former Name | VALERIE A DIRKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-46065) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-80994-082) |
Enumeration Date | 2007-07-16 |
Last Update Date | 2025-04-04 |