NPI | 1174059216 |
---|---|
Former Name | FARRAH D HARDIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007393A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3013001) |
363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28153782A) | |
Enumeration Date | 2017-05-10 |
Last Update Date | 2020-07-10 |