NPI | 1275862013 |
---|---|
Former Name | CAROLE ANNE KAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP2623662) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP 2623662) |
Enumeration Date | 2009-12-07 |
Last Update Date | 2019-03-15 |