NPI | 1013426352 |
---|---|
Former Name | CARLEE Y STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: CA 681672) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 681672) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95006713) | |
Enumeration Date | 2017-09-28 |
Last Update Date | 2024-07-24 |