NPI | 1477977627 |
---|---|
Former Name | KAREN RACHELLE MERRITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R215158) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013678) |
Enumeration Date | 2014-02-08 |
Last Update Date | 2015-02-25 |