NPI | 1972041366 |
---|---|
Former Name | MICAH KATRINA COUNTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-138603) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-138603) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2025-05-22 |