NPI | 1053813303 |
---|---|
Former Name | ALLIE GEARY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012029) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3012029) |
Enumeration Date | 2018-03-02 |
Last Update Date | 2024-03-07 |