NPI | 1982259479 |
---|---|
Former Name | KASTIN I. SHEPKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019735) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 29674) |
Enumeration Date | 2019-08-02 |
Last Update Date | 2025-01-31 |