| NPI | 1780338426 |
|---|---|
| Former Name | MARY NKETIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 12.010359) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 010359) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2024-07-08 |