NPI | 1811880362 |
---|---|
Former Name | KARLIE DANIELLE VANDAGRIFFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71016683A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28251714A) |
363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71016683B) | |
Enumeration Date | 2025-06-02 |
Last Update Date | 2025-06-03 |