NPI | 1477026201 |
---|---|
Former Name | KERRY-ANN MCCOOTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 11439) |
Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: CT 99969) |
Enumeration Date | 2019-01-03 |
Last Update Date | 2023-03-30 |