NPI | 1093173627 |
---|---|
Former Name | KATHRYN A WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3010085) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010085) |
Enumeration Date | 2016-02-10 |
Last Update Date | 2018-08-30 |