NPI | 1861962714 |
---|---|
Former Name | KATELYN MAY BALDYS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019687) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP019687) |
Enumeration Date | 2018-12-04 |
Last Update Date | 2022-08-15 |