NPI | 1972596930 |
---|---|
Former Name | KAREN H. ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP1807) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN124198) |
Enumeration Date | 2005-08-25 |
Last Update Date | 2016-04-25 |