NPI | 1033358072 |
---|---|
Former Name | MARY T GEORGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 5720P) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3005720) |
363LG0600X Nurse Practitioner, Gerontology (Licence: KY 5720P) | |
Enumeration Date | 2009-02-16 |
Last Update Date | 2016-11-21 |