NPI | 1376051292 |
---|---|
Former Name | KAYLA R FOOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016977) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209016977) |
Enumeration Date | 2018-01-12 |
Last Update Date | 2023-01-24 |