| 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 |