| NPI | 1992812416 |
|---|---|
| Former Name | KAREN ANN IVANTIC-DOUCETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 817-033) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 74022-030) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2014-08-18 |