NPI | 1962759019 |
---|---|
Former Name | KATERI KANE WYNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN CNP6528) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP22144) |
363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP22144) | |
Enumeration Date | 2012-08-08 |
Last Update Date | 2019-06-28 |