NPI | 1003536673 |
---|---|
Former Name | KATHERINE LYNN EKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 229454) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-09-01 |
Last Update Date | 2023-02-15 |