NPI | 1659789188 |
---|---|
Former Name | NADINE-ANN ORINTHEA KETTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9276797) |
Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6905999) |
Enumeration Date | 2014-07-29 |
Last Update Date | 2023-01-23 |