NPI | 1710454798 |
---|---|
Former Name | KATIE MARIE JAMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-78362-121) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2021029980) |
Enumeration Date | 2018-10-29 |
Last Update Date | 2024-08-28 |