NPI | 1144743782 |
---|---|
Former Name | GERI LYNN SIPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3011492) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3011492) |
Enumeration Date | 2017-07-25 |
Last Update Date | 2023-03-24 |