NPI | 1073091286 |
---|---|
Former Name | NATALIE ISBELL PUTNAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21955) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 21955) |
Enumeration Date | 2018-07-31 |
Last Update Date | 2023-09-20 |