NPI | 1598407595 |
---|---|
Former Name | KATELYN ISNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 112318) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 91721) |
Enumeration Date | 2022-04-11 |
Last Update Date | 2022-04-11 |