NPI | 1952640369 |
---|---|
Former Name | KIMBERLY ELAINE PLATH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A122442) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MN R2042150) |
363LF0000X Nurse Practitioner Family (Licence: WI 5640-33) | |
Enumeration Date | 2013-02-05 |
Last Update Date | 2024-08-29 |