NPI | 1245811454 |
---|---|
Former Name | KARA CRAIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704328936) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704328936) |
Enumeration Date | 2021-04-19 |
Last Update Date | 2022-02-03 |