NPI | 1972385276 |
---|---|
Former Name | KAYLA D ELDIB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014614A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28199866A) |
Enumeration Date | 2023-10-20 |
Last Update Date | 2023-11-13 |