NPI | 1194008425 |
---|---|
Former Name | KENYATTA EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209-008944) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 041361698) |
Enumeration Date | 2011-09-22 |
Last Update Date | 2025-02-28 |