NPI | 1053680405 |
---|---|
Former Name | KAREN ELAINE GATLIFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN116254) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: SC A2736) |
363LA2200X Nurse Practitioner Adult Health (Licence: GA R116254) | |
Enumeration Date | 2011-12-14 |
Last Update Date | 2023-12-11 |