NPI | 1144771296 |
---|---|
Former Name | KAYLA BETH INGRAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A004944) |
Additional Taxonomies | 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: AR R071373) |
Enumeration Date | 2016-10-24 |
Last Update Date | 2023-08-07 |