NPI | 1144745811 |
---|---|
Former Name | KATIE LYNN PITTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0997550-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0187888) |
Enumeration Date | 2017-08-03 |
Last Update Date | 2022-12-22 |