NPI | 1932591989 |
---|---|
Former Name | KAYLA MARLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 99670) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 0099670) |
363L00000X Nurse Practitioner (Licence: OK 00996670) | |
Enumeration Date | 2015-02-28 |
Last Update Date | 2017-06-16 |