NPI | 1457709552 |
---|---|
Former Name | KAITLIN L DARKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP018955) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 637937) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2022-04-06 |