NPI | 1801153531 |
---|---|
Former Name | KARLA MARIE HULL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024170017) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024170017) |
Enumeration Date | 2012-04-19 |
Last Update Date | 2020-10-28 |