NPI | 1033854591 |
---|---|
Former Name | KATHERINE ELIZABETH PRENTICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: TN RN0000166076) |
Enumeration Date | 2022-04-29 |
Last Update Date | 2022-04-29 |