NPI | 1174633051 |
---|---|
Former Name | CHARITY M. KINCADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP4512) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: AZ AP4512) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2018-01-10 |