NPI | 1811549561 |
---|---|
Former Name | COURTNEY KATHERINE PARENTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ND R50638) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 821833) |
Enumeration Date | 2019-07-12 |
Last Update Date | 2024-04-08 |