NPI | 1689238453 |
---|---|
Former Name | KATHERYN MCCALL CARMICHAEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH CNP.0027375) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-159833) |
363L00000X Nurse Practitioner (Licence: TX 1105885) | |
Enumeration Date | 2019-04-27 |
Last Update Date | 2023-11-08 |