NPI | 1063980084 |
---|---|
Former Name | DOROTHY OLERE KEMIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95010385) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 549002) |
163WH0200X Registered Nurse, Home Health (Licence: CA 771407) | |
363LF0000X Nurse Practitioner, Family (Licence: CA 95010385) | |
Enumeration Date | 2018-11-07 |
Last Update Date | 2019-08-13 |