NPI | 1992352728 |
---|---|
Former Name | SERENA NICHOLE CATNOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: GA RN321702) |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NY 421397) |
Enumeration Date | 2019-08-26 |
Last Update Date | 2024-05-16 |