NPI | 1447994157 |
---|---|
Former Name | CAROLINE GRACE YATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016121) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5016121) |
Enumeration Date | 2022-04-27 |
Last Update Date | 2025-01-02 |