NPI | 1972708923 |
---|---|
Former Name | KASIE D ELAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV APRN000948) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 625958) |
Enumeration Date | 2007-06-19 |
Last Update Date | 2022-01-17 |