NPI | 1083187942 |
---|---|
Former Name | KAILA ANNE MEADOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 22501) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 22501) |
Enumeration Date | 2019-01-03 |
Last Update Date | 2024-08-27 |