NPI | 1013796218 |
---|---|
Former Name | CATHERINE LOUISE BAKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP029088) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN594884) |
Enumeration Date | 2023-09-26 |
Last Update Date | 2024-03-10 |