NPI | 1538600283 |
---|---|
Former Name | KAYTLYN MCMASTERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3019100) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.020519) |
Enumeration Date | 2017-03-14 |
Last Update Date | 2023-09-13 |