NPI | 1235182627 |
---|---|
Former Name | KARI NICOLE BAGBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H098529) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IA H098529) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2022-03-15 |