NPI | 1174360366 |
---|---|
Former Name | KAYLA WALTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71015587A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28216621A) |
Enumeration Date | 2024-07-13 |
Last Update Date | 2024-09-05 |