NPI | 1134718158 |
---|---|
Former Name | COURTNEY KOTFILA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2295685) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2295685) |
Enumeration Date | 2021-01-14 |
Last Update Date | 2022-06-01 |