NPI | 1386054815 |
---|---|
Former Name | KARA MAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2015010644) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 76326) |
Enumeration Date | 2014-05-06 |
Last Update Date | 2015-05-29 |