NPI | 1144699430 |
---|---|
Former Name | KARI TATE MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC F0915121) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007951) |
Enumeration Date | 2015-09-17 |
Last Update Date | 2021-08-20 |