NPI | 1104675529 |
---|---|
Other Name | NAHVOTE KAREN FORKOM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 2024006595) |
Enumeration Date | 2024-05-17 |
Last Update Date | 2024-06-27 |