NPI | 1952591836 |
---|---|
Former Name | KAMI LYNN DOUBET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209005968) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-005968) |
Enumeration Date | 2007-07-27 |
Last Update Date | 2023-10-04 |