NPI | 1992114011 |
---|---|
Former Name | KATHLEEN A TROXELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019424) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9309524) |
Enumeration Date | 2014-08-04 |
Last Update Date | 2021-05-20 |