| 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 |