NPI | 1194123679 |
---|---|
Former Name | JUDI LYNNE KITTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209010514) |
Enumeration Date | 2014-12-15 |
Last Update Date | 2018-10-19 |