NPI | 1649421066 |
---|---|
Former Name | KALYN F BOWRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 13683) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TN 13683) |
Enumeration Date | 2008-10-03 |
Last Update Date | 2020-10-26 |