NPI | 1225652266 |
---|---|
Former Name | KAREN EILEEN PREMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11010310) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX NP145025) |
Enumeration Date | 2020-06-05 |
Last Update Date | 2021-02-09 |