NPI | 1598333213 |
---|---|
Other Name | KATE BAUTISTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 349619) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN290212) |
Enumeration Date | 2021-06-17 |
Last Update Date | 2023-09-21 |