NPI | 1134598238 |
---|---|
Other Name | KATIE QUINTAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN9441409) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 6386) |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9441409) | |
Enumeration Date | 2015-09-18 |
Last Update Date | 2023-07-05 |