NPI | 1033709944 |
---|---|
Former Name | RANDOL BATTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021021503) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-80309-091) |
163W00000X Registered Nurse (Licence: MO 2015016734) | |
163W00000X Registered Nurse (Licence: KS 14-136992-091) | |
Enumeration Date | 2021-01-25 |
Last Update Date | 2021-11-22 |