NPI | 1144424771 |
---|---|
Former Name | CANDICE DAWN HARVEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3005105) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 5105P) |
363L00000X Nurse Practitioner (Licence: KY 5105P) | |
Enumeration Date | 2007-06-14 |
Last Update Date | 2014-05-29 |