NPI | 1780495077 |
---|---|
Former Name | KARLEY B BEAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71016225A) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71016225A) |
Enumeration Date | 2025-01-15 |
Last Update Date | 2025-03-10 |