NPI | 1508168196 |
---|---|
Former Name | KAITLIN ROWLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003915A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 15405) |
Enumeration Date | 2010-12-02 |
Last Update Date | 2018-02-28 |