NPI | 1073989752 |
---|---|
Former Name | DEANNA BROOKE HINKLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5010057) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WV APRN73595-PPCNP-BC) |
Enumeration Date | 2015-08-17 |
Last Update Date | 2021-11-15 |